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OUR MISSION: The mission of the Amani Public Charter School is to provide Mount Vernon, New York students in the fifth through eighth grade with the academic and critical thinking skills necessary to succeed in competitive high school programs, college and the career of their choice. HOW TO APPLY: An application for admission can be found inside this booklet. One application must be completed for each child applying to the school. If a student has a sibling who is also applying in the same year, a separate application must be submitted for each sibling. Please detach the application and keep this page for your records. Applications can be mailed to: Amani Public Charter School P.O. Box 3022 Mount Vernon, New York 10553 Applications can be submitted at the schools main office, Monday-Friday between 7:30A.M. and 5:00P.M., at: 261 East Lincoln Avenue (between Claremont and Summit Avenues, at the Friendship Family Life Center) Mount Vernon, New York 10552 Applications can be completed online at: http://www.amanicharter.org/apply APPLICATIONS MUST BE RECEIVED BY 5:00P.M. ON TUESDAY, APRIL 1, 2014 If there are more applicants than available seats, an admissions lottery will be held on Monday, April 7, 2014 at 6:30P.M. at the Amani Public Charter School
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School Use Only: Date received: _____________ ______ MVCSD ______ Other Lottery Number: ____________ Wait List Number: ___________ Reviewer: ___________________
This application is ONLY for students who will enter 5th or 6th grades in September 2014. STUDENT INFORMATION
Name of Student: _________________________________________________________________
First Middle Last
Male
Female
Does the applicant student have a sibling who is currently enrolled at the Amani Public Charter School? If yes, list at least one siblings name, current grade and date of birth:
Circle one:
Yes
No
Does the applicant student have a sibling who is also applying to the Amani Public Charter School this year? If yes, list the name, current grade and date of birth:
Circle one:
Yes
No
PARENT/GUARDIAN INFORMATION
Name of Parent/Guardian:__________________________________________________________
First Middle Last
Home Phone: _________________________ Cell Phone: ________________________________ Work Phone: __________________________ Email : ____________________________________
ADDITIONAL INFORMATION
How did you hear about the Amani Public Charter School? (check one)
_____ Advertising _____ Direct Mail _____Teacher at current school _____ Current student/parent ____ Other: ______________
Yes
No
SIGNATURE
I affirm that the information I have submitted above is true to the best of my knowledge.
The Amani Public Charter School shall not discriminate against of limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, national origin, religion or ancestry. The Amani Public Charter School will not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to the school.